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Mountain West Medical Center prices. From its own published file.

Mountain West Medical Center in Tooele, UT publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,983prices published
Sep 2026file last updated
$3,027cash price for ct abdomen and pelvis with contrast (list $5,045)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$879$1,465$223–$1,531
Emergency visit, high (level 4)
99284
$1,315$2,191$360–$4,459
Emergency visit, highest (level 5)
99285
$1,839$3,065$525–$2,820
Comprehensive metabolic panel
80053
$70.80$185$10.56–$232
Basic metabolic panel
80048
$147$245$8.46–$225
Complete blood count (CBC)
85025
$70.80$155$7.77–$177
Blood draw (venipuncture)
36415
$28.97$48.28$3.00–$44.42
Urinalysis
81001
$63.64$106$3.17–$97.58
Troponin (heart test)
84484
$476$794$12.47–$730
EKG tracing
93005
$358$615$55.90–$741
Chest X-ray, 2 views
71046
$400$666$88.12–$613
CT head without contrast
70450
$1,783$2,971$106–$2,734
CT abdomen and pelvis with contrast
74177
$3,027$5,045$353–$4,642
MRI lower back without contrast
72148
$2,897$4,829$242–$4,443
Ultrasound, abdomen
76700
$1,472$2,453$106–$2,257
IV push, single drug
96374
$97.58$321$106–$616
IV fluids, first hour
96360
$156$786$169–$1,275
Ketorolac injection, 15 mg
J1885
$4.43$15.17$0.28–$27.54
Ondansetron injection
J2405
$4.34$7.23$4.70–$6.65

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Mountain West Medical Center price transparency page.

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